Archive for December, 2011


HISTORY OF CHIROPACTIC

posted by Drax @ 14:54 PM
December 22, 2011

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Merry Christmas! Hope everyone has a wonderful holiday. When you focus on the Reason for the Season you can leave your stress behind and rejoice in the greatest gift given to all humankind. Blessings to everyone on Jesus’ Birthday.

 

The History of Chiropractic

From the beginning of history, man has always been searching for the Fountain of Youth. In medicine, people have been searching for the magic bullet, a drug that would literally take care of all our health needs. Unfortunately, as we all know that magic bullet does not exist. The question then follows, what can be done to help our health needs throughout our lives.

Dorland’s Medical Dictionary describes health as a state of wellness, not merely the absence of disease or infirmity. Another way of looking at this is that the absence of pain does not give us a good indication of the patient’s health level.

 

“The doctor of the future will give no medicine but will interest his patients in the care of the human frame, in diet and in the cause and prevention of disease.”

Thomas Edison

Health is an ongoing process; one that evolves as we age. If you look around at our society, you can see a rampant crisis of health problems. People are looking for answers and in many cases are not getting them. It’s my opinion that the main cause of these issues is that prevention of disease and illness is scoffed at by society. If someone feels well -no problem – nothing to worry about. We are now realizing that health maintenance is the key to good health. Rather than wait for the health crisis, let’s attempt to prevent the crisis from occurring.

Chiropractic health care focuses primarily on the examination and treatment of the spine and pelvis to determine if some part of the body’s structure is malfunctioning. And, if so, what can be done to correct the structure to return the body to the best possible physiologically sound state?

Think back how many times you’ve received treatment for an illness and after feeling a bit better, you stopped treatment. But is feeling well the same as being well? Short-term treatment may only help to temporarily alleviate symptoms, a part of the condition, but never really address the cause of the problem. There can be long term consequences to symptoms relief only – the condition can return, or can develop into something even more serious.

Chiropractic can be used in several ways. As prevention, chiropractic helps keep your spine and nervous system working at optimum so disease and injury are less likely to occur. As treatment, chiropractic addresses the cause of your condition and restores normal function. As rehabilitation, chiropractic assists your body in attaining optimum function after an injury and as maintenance chiropractic helps you retain all the good healing and function you’ve achieved through your care.

 

CHRISTMAS IS COMING!

Need to find the Perfect Present for someone special? Give the gift of health! Gift Certificates are available in the office.

Holiday Hours are:

Christmas Eve, Dec 24 – Open til Noon

Closed from Noon Saturday, December 24 until Tuesday, January 3, 2012. Book your New Year Adjustment for the first week in January and start the year right!

When you need chiropractic adjustments Abbotsford is the place to be. Dr. Dorothea McCallum provides General Chiropractic Care for people of all ages, Pre and Perinatal care for Moms and babies – Webster Technique Certified, Wellness Care and Coaching – Certified Chiropractic Wellness Practitioner (CCWP), Custom Corrective Orthotics.

Our office (inside the Bay) can be viewed on our CanPages site: www.canpages.ca/page/BC/abbotsford/mccallum-chiropractic-at-the-bay/4270514.html

Dr. McCallum’s office is located upstairs in the Bay SevenOaks, 32900 South Fraser Way, Abbotsford, BC. Call 604-864-8232 to book an appointment. We love helping people regain and maintain their good health.

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DISC HERNIATIONS

posted by Drax @ 14:37 PM
December 15, 2011

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The following is an exerpt from a scientic journal about disc herniations. I have had a lot of patients come into the office with future, current and past disc herniations. It’ s no fun having this problem, and nobody has all the answers regarding the best way to predict or care for the patient who has it. There is some interesting information here. I’ve copied parts of the paper and will try to unpack it in regular people’s terms so you can understand a bit better. Some of the information is quite surprising, as you ‘ll see. I’ve italized my comments to distinguish them from the body of a quote.

Diagnostic accuracy of the clinical examination in identifying the level of herniation in patients with sciatica

Hancock M, Koes B, Ostelo R et al.

Spine 2011; 36(11): E712-719.

 

Patients with sciatica complaints (this is pain down the back of your leg ) are examined by means of a variety of test procedures to determine if the symptoms are caused by a disc herniation as well as which level is involved.(sciatica is not always caused by disc herniation – sometimes it is a tight piriformis muscle, sometimes inflammation in the area of the nerve, etc) The general tests (e.g., Straight Leg Raise [SLR] and Valsalva’s Maneuver) provide information about whether a disc herniation is present, but they do not provide information about which disc level is involved. Tests that do provide disc-level specific information include dermatome (dermatomes are patterns of nerve distribution on the skin that map out and correspond to particular spinal levels – so you can trace the sore spot from an extremity like your toe all the way back to the level of the spine where the nerve comes from), muscle strength and deep tendon reflex testing.

When the clinical picture (a clinical picture is determined by the history of the complaint, and test results from nerve, muscle, strength, etc tests) points to a disc herniation, patients are commonly evaluated by magnetic resonance imaging (MRI) to confirm the presence and level of involvement. However, if the level of herniation that is seen on MRI does not correlate with the clinical examination findings, the patient may not be expected to improve following a disc-specific intervention (e.g., discectomy).

I bolded the last sentence because this is very important and shows how surgery can fail. Even though you have the right level and the disc is bulged and/or herniated the clinical symptoms might indicate a different level. If you have these kinds of conflcting signs and you operate, the patient will not be helped! It just shows that the body is more complicated that we understand and it points to the fact that we don’t really know very much! Obviously, from this, the pain is not always generated from the herniated disc!

Even though it is extremely important to have a good correlation between clinical examination findings and MRI findings before proceeding to surgery, little is known about the accuracy of commonly used tests in predicting the level of disc herniation.

Think about the last part of the above sentence – personally, it gives me pause, and would certainly make me think more than twice before letting anyone operate on me. I’d like better accuracy!

The objective of this this study was (in patients with sciatica and confirmed lumbar disc herniation) to investigate the diagnostic accuracy of:

  • individual neurologic tests,
  • combinations of tests, and
  • a clinician’s overall impression in identifying the specific level of a suspected disc herniation.

The study’s secondary objective was to determine if the diagnostic accuracy was influenced by whether the herniation was central or lateral.

  • Patients (n = 283) were on average 42 years-of-age and 66% were males.
  • The mean sciatica pain level was 65 on a 100 point visual analogue scale (VAS).
  • Symptom duration was an average of 9 weeks.
  • The most common level of disc herniation was L5/S1, which occurred in 59.6% of the patients.
  • The L4/L5 level was next most common, affecting 44.6% of the patients.
  • Only 4.6% had L3/L4 involvement.
  • Overall, there was a great deal of variation in the frequency of positive findings between the tests.
  • There was a very high correlation between side of herniation and the side of sciatica with only five patients having pain on the opposite side.

 

Dermatomal pain location was the most accurate of the neurological tests in identifying the level of disc herniation. However, none of the tests were considered to be very accurate, with all of the respective AUC values being below 0.75. (Area under the curve – an indication of a test’s ability to discriminate, that is, to correctly classify those who have a particular condition from those who do not have the condition. A perfect test would have an AUC of 1, whereas a worthless test that could not discriminate at all would have an AUC of 0.5. Generally, a test that has excellent accuracy would be 0.90 or above, good 0.80-0.90, fair 0.70-0.80 and poor 0.60-0.70.) Patient reports of pain in the L5 and S1 dermatomes were the best tests to identify L4/L5 and L5/S1 herniations, respectively.

Examination by a neurologist was more accurate at identifying the level of disc herniation than any of the individual tests, (make sure you get a neurologist to evaluate you – not an orthopedic surgeon!)

When several index tests were combined, diagnostic accuracy was slightly superior to dermatomal pain location, the most accurate index test, but was inferior to the rating of a neurologist.

The authors concluded that their study did not provide evidence to support the accuracy of any of the individual neurological examination tests in identifying the level of disc herniation in the lower three discs that are demonstrated on MRI. On the other hand, a neurologist utilizing a group of tests was moderately accurate in identifying the level of disc herniation.

When the findings of several positive index tests were combined, accuracy increased slightly.

Dermatomal pain location was the most accurate single clinical test in identifying the level of disc herniation. Thus, clinicians should pay particular attention to this finding when present in patients with suspected lumbar disc herniation.

CHRISTMAS IS COMING!

Need to find the Perfect Present for someone special? Give the gift of health! Gift Certificates are available in the office.

Holiday Hours are:

Christmas Eve, Dec 24 – Open til Noon

Closed from Noon Saturday, December 24 until Tuesday, January 3, 2012. Book your New Year Adjustment for the first week in January and start the year right!

 

Dr. McCallum’s office is located upstairs in the Bay SevenOaks, 32900 South Fraser Way, Abbotsford, BC. Call 604-864-8232 to book an appointment. We love helping people regain and maintain their good health.

 

When you need chiropractic adjustments Abbotsford is the place to be. Dr. Dorothea McCallum provides General Chiropractic Care for people of all ages, Pre and Perinatal care for Moms and babies – Webster Technique Certified, Wellness Care and Coaching – Certified Chiropractic Wellness Practitioner (CCWP), Custom Corrective Orthotics

 

Our office (inside the Bay) can be viewed on our CanPages site: www.canpages.ca/page/BC/abbotsford/mccallum-chiropractic-at-the-bay/4270514.html

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FAQ – Chiropractic Misperceptions Part 2

posted by Drax @ 14:03 PM
December 8, 2011

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Chiropractic: Common Misperceptions Part 2

Last week we looked at some of the common misperceptions about chiropractic – here’s some more.

Chiropractors are not “real” doctors

This statement is true if you believe that only medical doctors are doctors. We certainly aren’t medical doctors and have chosen not to be. When I decided to enter chiropractic school, I chose to enter a healing art that concentrated on the spine and everything attached to that spine. I chose a field of study that looked for the structural causes of health conditions and how a patient’s condition could be corrected rather than entering a field of medicine, which in many cases, chose to cover up symptoms through the use of medication.

When you think about it, since the spine includes the spinal cord, which is an integral part of the central nervous system, intimately connected to the brain and instrumental in controlling every organ, cell and tissue in the body, chiropractic is so much more than just the safest, most effective treatment for a sore back or a headache.

Chiropractors are not allowed to use drugs or perform surgery.

While this statement is true legally, I refer to the last question for an answer. When chiropractors enter chiropractic school, they choose to enter a healing art that does not use medication or surgery as its treatment choice. So, it’s not a matter of no allowed to; it’s a matter of don’t want to.

Why do I have to keep coming, the pain is gone!

This goes back to the concept of threshold level of pain. With treatment, your pain level is soon reduced or gone. In many cases, if treatment is stopped at that time, the bulk of the condition is still looming behind the scenes, so to speak, below the water line (threshold level of pain). Once normal activity is resumed and normal daily stresses occur, the pain will re-appear. That is why I re-examine patients from time to time to determine where they are in care, and to have a better indication as to what is needed.

I came to you for a few months, was satisfied with the results and decided to stop care. Now a few months later or more, my pain has returned. I really don’t want to get started all over again and I don’t want to have to come in over a long time.

This happens from time to time. Please understand something. I recommend the treatment that YOUR condition requires. The best thing I can tell you is that IF it has been a long time since treatment ended, let’s say 6 months to a year, there‘s a good chance at least a brief examination is needed to determine if the condition is the same or different than before. In many cases, the same amount of treatment is NOT needed. If you make it clear what your goals are, I will customize your treatment to give you what you need. I will however, recommend what your condition needs, not necessarily what you want to hear. It’s then up to you to decide what you want. Please don’t be intimidated by me or my recommendations. As corny as it sounds, I want to help you to the degree you want help. It’s your body and health after all!!

Something else you need to know is this. Back conditions nearly always recur. When we look at the current research it appears more and more that back pain is almost always a cumulative injury (unless you’re in a bad accident, fall from a plane, or are literally hit by a bus) and because we are creatures of habit, we keep doing the same things over and over and over. While our symptoms wax and wane, the underlying condition doesn’t go away. This means that once our back is injured, it can heal, but it is not cured. I think people get frustrated and are disappointed because they expect a 100% cure, when there isn’t one. As a chiropractor my job is facilitate your healing to its optimum level and help you maintain it, so you can remain symptom free, or at least have better control over your episodes, rather than having them control you.

CHRISTMAS IS COMING!

Need to find the Perfect Present for someone special? Give the gift of health! Gift Certificates are available in the office.

Holiday Hours are:

Christmas Eve, Dec 24 – Open til Noon

Closed from Noon Saturday, December 24 until Tuesday, January 3, 2012. Book your New Year Adjustment for the first week in January and start the year right!

Dr. McCallum’s office is located upstairs in the Bay SevenOaks, 32900 South Fraser Way, Abbotsford, BC. Call 604-864-8232 to book an appointment. We love helping people regain and maintain their good health.

At McCallum Chiropractic we are always looking to enhance your health through easy, effective choices. Choose Chiropractic.

Our office (inside the Bay) can be viewed on our CanPages site: www.canpages.ca/page/BC/abbotsford/mccallum-chiropractic-at-the-bay/4270514.html

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FAQ – Chiropractic Misperceptions Part 1

posted by Drax @ 13:56 PM
December 1, 2011

 

Chiropractic: Common Misperceptions Part 1

Why do I have to go so frequently for treatment?  Is it really necessary?

The best way to answer this is to use an analogy.  If you have an infection and visited your MD, there is a chance he would prescribe an antibiotic to fight the infection.  That prescription might need to be taken twice a day for 14 days.  In that 14 day period you received 28 treatments. It doesn’t seem like it because you only had one actual visit to the office.

In chiropractic, the treatment is given in the office, not at home and not out of a bottle.   So, if you were to receive treatment three times a week for nine weeks, while it may seem like a lot of treatment, you were actually treated one time less than in the medical analogy given above.

At my office, I tailor your treatment plan to you and your condition so you have optimum results – for you.  Sometimes, if the problem has been there for a long time, it can take a longer time to treat.  If you have concerns about the treatment plan designed for you, please let me know so I can explain and talk about other possible treatment options.

It seems like once you start going to a chiropractor you have to go forever!

In actuality, many patients CHOOSE to receive chiropractic throughout their lives, because they see the improvements in their lifestyle and health.  Let’s face it, our society is geared towards fast food, fast cars and immediate gratification. It’s no wonder that people also want fast food healthcare. Let’s give you another analogy that may help.  Diabetics and those with allergies sometimes need medication every day or every week of their life!!!  Nobody criticizes them or their doctor for treating their condition on an ongoing basis.  In fact, we’d think they were foolish if they stopped.

In some cases patients with significant structural problems need structural support for long periods of time and perhaps the rest of their life. While these types of problems are not an everyday occurrence in my office, they do happen. Also, as you’ll see in Part 2, sometimes, even the problem you think is a small, new problem, may have a more serious root cause and require more care than you anticipate.

Most people who come to my office for care for longer periods of time simply like the way they feel and choose to utilize chiropractic treatment more thoroughly than others.

Chiropractic is not accepted by the medical profession.  My doctor doesn’t want me to utilize chiropractic.

While this situation was very common when I first started practicing over 20 years ago, there are occasionally patients who tell me this even today.  It is unfortunate that this occurs.  I personally don’t believe that any doctor has all the answers.  That is why I refer to most other types of doctors when the need arises.  In most cases, the medical doctor who has this attitude may still carry the prejudices of years past or has a total misunderstanding of what chiropractic treatment consists of and what our goals of treatment are.  I have found that if this ever occurs, a telephone call can help alleviate any concerns your medical doctor has with treatment. In some cases, after discussing the patient’s additional health issues with the medical doctor, I may alter my approach of treatment because of a patient’s health history. A smart doctor is one who listens to their patient and to the other health professionals the patient may have seen.

Next week, we’ll continue with some of the commonly held misconceptions about Chiropractic.  If you have any questions, please let me know.  I’d be happy to answer them for you.

Dr. McCallum’s office is located upstairs in the Bay SevenOaks, 32900 South Fraser Way, Abbotsford, BC.  Call 604-864-8232 to book an appointment.  We love helping people regain and maintain their good health.

When you need chiropractic adjustments Abbotsford is the place to be.  Dr. Dorothea McCallum provides General Chiropractic Care for people of all ages, Pre and Perinatal care for Moms and babies – Webster Technique Certified, Wellness Care and Coaching – Certified Chiropractic Wellness Practitioner (CCWP), Custom Corrective Orthotics.

Visit our office on-line by seeing our video on CanPages!  New Patients always welcome www.canpages.ca/page/BC/abbotsford/mccallum-chiropractic-at-the-bay/4270514.html

 

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